FINDINGS Figure 95-1. Axial NCCT through the basal ganglia. There is a poorly defined hypodensity in the posterior limb of the right internal capsule/anterior thalamus. Figure 95-2. Axial FLAIR MRI through the basal ganglia. There is an ovoid hyperintense lesion (arrow) in the posterior limb of the right internal capsule. Figure 95-3. Corresponding DWI. There is focal restricted diffusion of the internal capsular lesion.
DIFFERENTIAL DIAGNOSIS Enlarged Virchow-Robin spaces, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), lacunar infarct, cryptococcus, and neurocysticercosis.
DIAGNOSIS Lacunar infarct (LI) basal ganglia.
DISCUSSION
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